<p> THE UNIVERSITY OF TOLEDO </p><p>Rocket Card Withdrawal Request</p><p>Guidelines:</p><p> Rocket Card withdrawal request will only be processed provided a student has funds available to withdraw  Any eligible funds withdrawn may be applied to an outstanding student account balance from the current aid year, prior to any refund to the student  Student refunds are distributed via direct deposit to the account designated by the student (please make sure you have provided this information prior to completing this form). NO CASH Refunds are issued.  Withdrawal requests will begin to be processed after the add/drop period ends  Submit completed forms to:</p><p>The University of Toledo Rocket Solution Central, Rocket Hall, Room 1200 2801 W. Bancroft St. Toledo, OH 43606</p><p>Date of Request: Rocket Number: R</p><p>Student’s First Name: Middle Initial: Last Name: </p><p>University email: @rockets.utoledo.edu</p><p>Telephone Number: Address: </p><p>Type of Withdrawal: Financial Aid Rocket Dollars </p><p>Amount: Specific Amount $ Remaining Balance </p><p>______Student Signature</p>